Comparison of effects of modified B-Lynch suture and bilateral uterine artery ligation in treatment of patients with postpartum hemorrhage after cesarean section
Objective:To compare effects of modified B-Lynch suture and bilateral uterine artery ligation in treatment of patients with postpartum hemorrhage after cesarean section.Methods:A prospective study was conducted on 128 patients with postpartum hemorrhage after cesarean section admitted to the hospital from February 2020 to February 2023.According to the random number table method,they were divided into observation group and control group,64 cases in each group.The control group was treated with bilateral uterine artery ligation,while the observation group was treated with modified B-Lynch suture.The hemostatic efficiency,the operation-related indicators(operation time,24 h bleeding volume after cesarean section,hospitalization time,hysterectomy rate)levels,the coagulation function indicators[plasma coagulation factor Ⅷ,coagulation factor Ⅸ,fibrinogen(FIB)]levels,and the incidence of complications were compared between the two groups.Results:The operation time and the hospitalization time of the observation group were shorter than those of the control group,the 24 h bleeding volume after cesarean section was lower than that of the control group,and the differences were statistically significant(P＜0.05).3 d day after the surgery,the levels of coagulation function indexes such as plasma coagulation factor Ⅷ,coagulation factor Ⅸ and FIB in the two groups were higher than those before operation,those in the observation group were higher than those in the control group,the differences and were statistically significant(P＜0.05).However,there were no significant differences in the hemostatic efficiency,the hysterectomy rate and the incidence of complications between the two groups(P＞0.05).Conclusions:Modified B-Lynch suture in the treatment of the patients with postpartum hemorrhage after cesarean section can improve the levels of coagulation function indicators,shorten the operation time and the hospitalization time,and reduce the 24 h bleeding volume after cesarean section.Moreover,it is superior to bilateral uterine artery ligation.
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